Evidence map›Paper›PMID 33315051›Full record

Trial reportInvestigative ophthalmology & visual science2020

A Small Molecule Inhibitor of VE-PTP Activates Tie2 in Schlemm's Canal Increasing Outflow Facility and Reducing Intraocular Pressure.

Guorong Li, Astrid F Nottebaum, Mitchell Brigell, Iris D Navarro, Ute Ipe, Sarthak Mishra, Maria Gomez-Caraballo, Heather Schmitt, Brandi Soldo, Steve Pakola and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Investigative ophthalmology & visual science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Poly-Dha Sequences asJACS Au · 2024
    Article
  14. Review
  15. Review
  16. Article
  17. Penile cavernous sinusoids are Prox1-positive hybrid vessels.Vascular biology (Bristol, England) · 2024
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 2 countries.

Guorong LiDepartment of Ophthalmology, Department of Biomedical Engineering, Duke University, Durham, North Carolina, United States.
Astrid F NottebaumMax Planck Institute of Molecular Biomedicine, Muenster, Germany.
Mitchell BrigellAerpio Pharmaceuticals, Inc., Cincinnati, Ohio, United States.
Iris D NavarroDepartment of Ophthalmology, Department of Biomedical Engineering, Duke University, Durham, North Carolina, United States.
Ute IpeMax Planck Institute of Molecular Biomedicine, Muenster, Germany.
Sarthak MishraMax Planck Institute of Molecular Biomedicine, Muenster, Germany.
Maria Gomez-CaraballoDepartment of Ophthalmology, Department of Biomedical Engineering, Duke University, Durham, North Carolina, United States.
Heather SchmittDepartment of Ophthalmology, Department of Biomedical Engineering, Duke University, Durham, North Carolina, United States.
Brandi SoldoAerpio Pharmaceuticals, Inc., Cincinnati, Ohio, United States.
Steve PakolaAerpio Pharmaceuticals, Inc., Cincinnati, Ohio, United States.
Barbara WithersAerpio Pharmaceuticals, Inc., Cincinnati, Ohio, United States.
Kevin G PetersAerpio Pharmaceuticals, Inc., Cincinnati, Ohio, United States.
Dietmar VestweberMax Planck Institute of Molecular Biomedicine, Muenster, Germany.
W Daniel StamerDepartment of Ophthalmology, Department of Biomedical Engineering, Duke University, Durham, North Carolina, United States.
Aerpio Pharmaceuticals (United States) · USDuke University · USMax Planck Institute for Molecular Biomedicine · DE

Funding

VISION RESEARCHP30EY005722 · NEI · DUKE UNIVERSITY · PI Vadim Y Arshavsky · 1985 to 2026
$19.3M
eNOS-Dependent Mechanoregulation of Intraocular PressureR01EY022359 · NEI · DUKE UNIVERSITY · PI STAMER, W DANIEL · 2012 to 2025
$5.6M
NEI NIH HHS P30 EY005722NEI NIH HHS R01 EY022359
6 · The paper itself

Abstract

Purpose: Tyrosine kinase with immunoglobulin-like and EGF-like domains 2 (Tie2) activation in Schlemm's canal (SC) endothelium is required for the maintenance of IOP, making the angiopoietin/Tie2 pathway a target for new and potentially disease modifying glaucoma therapies. The goal of the present study was to examine the effects of a Tie2 activator, AKB-9778, on IOP and outflow function. Methods: AKB-9778 effects on IOP was evaluated in humans, rabbits, and mice. Localization studies of vascular endothelial protein tyrosine phosphatase (VE-PTP), the target of AKB-9778 and a negative regulator of Tie2, were performed in human and mouse eyes. Mechanistic studies were carried out in mice, monitoring AKB-9778 effects on outflow facility, Tie2 phosphorylation, and filtration area of SC. Results: AKB-9778 lowered IOP in patients treated subcutaneously for diabetic eye disease. In addition to efficacious, dose-dependent IOP lowering in rabbit eyes, topical ocular AKB-9778 increased Tie2 activation in SC endothelium, reduced IOP, and increased outflow facility in mouse eyes. VE-PTP was localized to SC endothelial cells in human and mouse eyes. Mechanistically, AKB-9778 increased the filtration area of SC for aqueous humor efflux in both wild type and in Tie2+/- mice. Conclusions: This is the first report of IOP lowering in humans with a Tie2 activator and functional demonstration of its action in remodeling SC to increase outflow facility and lower IOP in fully developed mice. Based on these studies, a phase II clinical trial is in progress to advance topical ocular AKB-9778 as a first in class, Tie2 activator for treatment for ocular hypertension and glaucoma.

Indexed as

Aniline CompoundsAnimalsDiabetic RetinopathyDouble-Blind MethodFemaleFluorescent Antibody TechniqueGlaucomaHumansIntraocular PressureMaleMiceMice, Inbred C57BLMiddle AgedReceptor-Like Protein Tyrosine Phosphatases, Class 3Receptor, TIE-2Sulfonic AcidsAKB-9778Aniline CompoundsReceptor-Like Protein Tyrosine Phosphatases, Class 3Receptor, TIE-2Sulfonic AcidsTEK protein, human

Identifiers

PMID33315051
PMCPMC7735951
OpenAlexW3112150388

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.